scholarly journals Health problems in geriatric population of age group ≥70 years in rural Kerala, India: a cross sectional study

Author(s):  
Sarin S. M. ◽  
Jayasree A. K.

Background: The proportion of elderly population is increasing considerably world over. The health and socio-economic issues of this section is to be considered separately and in depth insights about them is needed for formulating elderly friendly health policy. This study intends toidentify the important health concerns of elderly population above the age group of 70 years in a rural area in North Kerala, India.Methods: It is a community based cross-sectional descriptive study involving all individuals above the age group of 70 years in a randomly selected panchayath ward from rural North Kerala. The data regarding demography, socioeconomic aspects, medical history, access to health care and treatment of chronic illnesses were collected through interview of study participants by a trained health care volunteer using a pre-validated questionnaire.Results: A total of 93 individuals above the age group of 70 years were included in the study out of which 63% were females and 37% males. In the study population 55.9% of the elderly were widowed and 87.1 % were staying along with their children. Almost 75% of the elderly received social welfare pension from government agencies and 14.3% received service pensions. 67.74% of the study population were hypertensive and 35.56% were diabetic. Other health issues included arthritis, coronary artery disease, chronic kidney disease, genito urinary symptoms and cerebrovascular accident.Conclusion:  The study provide valuable insights into the health and social issues of elderly in Kerala and points to the importance of formulating an elderly friendly health policy in the state.

Author(s):  
Nabarun Karmakar ◽  
Kaushik Nag ◽  
Anjan Datta ◽  
Shib Sekhar Datta ◽  
Partha Bhattacharjee

Background: The elderly is one of the most vulnerable and high-risk groups in terms of health and their health seeking behaviour is crucial in any society. A major component of the burden of illness for the elderly derives from prevalent chronic disease. The objective of study aims to find out morbidity pattern of elderly population aged 60 years and above.Methods: A community based cross-sectional study was done in rural areas of Madhupur, Sepahijala district, Tripura from August 2015-January 2016. A total of 260 (elderly aged 60 years and above) study participants were selected by simple random sampling.Results: Majority (52.7%) were between 60-70 years of age, least (1.5%) was in 90-100 years age group. Most of the study population (84.6%) were Hindu and female were more than male (51.9 % vs 48.1%). Majority (38.8%) of them were suffering from two (2) morbidities and 8.1% of study population had 4 and more morbidities. Non-specific generalized weakness was the most common (62.7%) morbidity, followed by gastrointestinal problems (56%) found in geriatric population. Musculoskeletal problems (low back pain, joint pain, osteoarthritis) were 45% followed by anaemia (42%) and impaired vision (36%). Increasing age group and non-smoke tobacco habit among the elderly population was associated with number of morbidities (≥ 3 morbidities/ person) per person (p <0.05).Conclusions: The study showed high prevalence of morbidities among elderly population. Non-specific generalized weakness was one of the most important problems in this age group. We have to find out the underlying cause of this non-specific generalized weakness by further clinical examination and laboratory investigations in future research.


2021 ◽  
Vol 19 (3) ◽  
pp. 150-154
Author(s):  
Sanjay B Jagtap ◽  

Background: The geriatric population is defined as population aged 60 years and above. The mixed profile of communicable and non-communicable diseases among the elderly population in developing countries places a huge burden on the existing health care delivery system. Present hospital based cross-sectional study was focused on the morbidity profile of the elderly and improve the health care services so as to enable them to lead a productive life. Material and Methods: Present study was single centre, descriptive observational study, conducted in subjects above 60 years and both gender, visiting to OPD and IPD, willing to participate in study after written consent. Results: We included total 200 geriatric population in our study. Majority of them were from 60-70 years age group (50 %) followed by 71-80 years (37%) and 81-90 years age group (13%). Mean age was 70.75±7.25 years. Males were 56.5% and females were 43.5%. Males were predominant in our study with male to female ratio 1.29:1. Most common addiction seen among the patients are tobacco chewing (49.5%) followed by smoking (27%), followed by pan (24.5%), nut (21.5%) and alcohol (10.5%). Family history of diabetes and hypertension was present in 63.5% and 72% cases respectively. Prevalence of cataract as commonest observed morbidity in our study was 60%, DM 37%, hypertension 34%, IHD 33.5%, anemia 21%, hearing loss 11.5% and cancer was 4%. Out of 45 deaths, 44.4% deaths occurred in patients with IHD as risk factor, 26.6% deaths occurred in patients with COPD as risk factor, 22.2% deaths occurred in patients with CVA/stroke as risk factor and 17.8% deaths occurred in patients with AKI as risk factor. So IHD, COPD, CVA and AKI were significantly associated with mortality. Conclusion: Commonly observed morbidities were cataract (60%), diabetes mellitus (37%), hypertension (34%), ischemic heart disease (33.5%) Significant association of mortality was seen with ischemic heart disease, chronic obstructive pulmonary disease, cerebrovascular accident and acute kidney injury.


2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Duncan M. Havenga ◽  
Jaykumaran Govender ◽  
Carolyn Lewis

Background: Emergency Centres (ECs) have a prominent trauma burden requiring effective pain management. This study aimed to review analgesia-prescribing habits in minor trauma, reviewing the patient demographics and diagnoses, analgesia-prescribing habits of health care professionals (HCPs) managing these cases, and differences in prescribing noted by patients’ age group, gender and triage code.Methods: A prospective, cross-sectional, descriptive study was conducted in a regional EC in KwaZulu-Natal. HCPs managing minor trauma patients completed a closed-ended questionnaire which indicated the patients’ demographics, diagnosis and analgesia prescribed.Results: The study comprised of 314 cases of which the demographic most represented were male patients aged between 20–30 years with soft tissue injuries. Simple analgesics and weak opioids (paracetamol, ibuprofen and tramadol) accounted for 87.9% of prescriptions. Referral clinics prescribed less analgesics than that provided in the EC. There were mostly no significant differences in prescription habits by patients’ age group, gender and triage code.Conclusion: Presenting complaints in our study were varied and likely to result in mild to moderate pain. Only a minority of patients received analgesics at initial contact. Standardised protocols providing treatment guidance for nurse-initiated pain management at initial contact is thus important. There were no significant differences in analgesics prescribed for adults and the elderly, which is worrisome given the potential negative side effects of analgesics in the elderly. Similar concerns in our paediatric population were not noted. Ensuring adequate analgesia with cognisance for safety at the extremes of age is of paramount importance.


Author(s):  
Visweswara Rao Guthi ◽  
Tirupati Venkata Devi Prathyusha ◽  
Nagaraj Kondagunta ◽  
Nakkala Kavyasree ◽  
Chimmata Kavitha ◽  
...  

Background: Healthy aging is a process of developing and maintaining the functional ability that enables well- being in older age. Objective of the present study is to assess the quality of life among elderly population using WHOQOL-BREF scale and to determine the association between socio demographic factors and quality of life.Methods: Community based cross- sectional study was conducted in the urban field practice areas of SVIMS-Sri Padmavathi Medical College for women, Tirupati for a period of one month (February 2019 to March 2019). Study population were Elderly of age 60 years and above. Total 60 elderly were included in the study. Quality of life was assessed using WHOQOL-BREF questionnaire.Results: Most of the study population was in the age group of 60-64 years, Most of them were females (71.7%). More than one third were illiterates (36.7%), 30% were studied up to primary school. 93.3% of study population were suffered from some form of illness. Mean total transformed score was high among ≥70 years compared to <70 years, Males were showing high mean total transformed score compared to females, literates were showing high score and persons with illness were showing high scores and persons without illness.Conclusions: It is concluded from this study that most of the elderly population are suffered from some form of illness. Overall quality of life is good among elderly within 70 years of age, males, literates and who are in living as married compared to their counter parts.


Author(s):  
L.B. Gurung ◽  
G. Paudel ◽  
U.N. Yadav

Background The elderly population is in increasing trend all over the world. Elderly people experience many physiological, biological and psychological changes. The general objective of the study is to assess the utilization of health care services among the elderly population of Butwal sub-metropolitan city.Methods A quantitative descriptive-cross sectional study, with a total number of 212 elderly people residing in Butwal sub-metropolitan city, was selected for the study purpose. The study period was from March to October 2015. The samples were randomly selected from the sampling frame of 3 different wards of Butwal sub-metropolitan city. Information was collected using an interviewer administered semi-structured questionnaire. Chi-square test was used to identify the factors associated with the utilization of health care services among elderly population.Results Our findings reveal that 84.4% of elderly people visited to the health facility during past 1 year. There were more females (50.9%) than males (49.1%). Majority of elderly people were diagnosed with one of the chronic ailment; were under regular medication. More than 4/5th (84.9%) of older adults rated “satisfactory” to their health condition. Monthly family income, chronic disease, elderly on medication and self-rated health status are statistically significant with utilization of health care services at 95% level of confidence.Conclusions The finding suggests that monthly family income, chronic disease, elderly on medication and self rated health are strongly associated with utilization of health care services by elderly people. Thus the study suggests further interventions to improve the health care service utilization by elderly people.Journal of Manmohan Memorial Institute of Health Sciences Vol. 2 2016 p.27-36


Author(s):  
Dugavath Geetha ◽  
M. A. Mushtaq Pasha ◽  
Afsar Fatima

Background: Geriatric age is one of the vulnerable phases of life. Geriatric population in India is faster growing share of population with more special needs for health-care and support. Objective was to study the socio-demographic factors and assess pattern of health care support among geriatrics residing in old age homes, Nandyal.Methods: This was a cross-sectional study among geriatric people aged more than 60 years residing in old age homes, Nandyal from October 15, 2019, to December 15, 2019.  One hundred eighty participants were included. Those who were not present during the analysis were excluded from the class using convenience sampling. Data was collected using a pre-designed, pre-tested, semi-structured questionnaire and analysing data using SPSS version-22.Results: Around 180 subjects, 76 (42%) of the elderly received treatment for their morbidities from private clinic and hospitals, while 37.8% from government hospitals. Children bear health care expenses for 32 (17.5%) of the elderly. Among 84 (46.7%) of elderly dependent on their social security schemes. while 30 (16%) had health insurance. Around 72 (40%) of elderly financially dependent on their children. Major complaints are Arthritis (47.7%) followed by hypertension (20%) and acid-peptic disease.Conclusions: A high prevalence of arthritis, hypertension and acid peptic disease were identified. It also highlighted that economic independence and the use of social security schemes among elderly is less. Based on these findings recommended that there is a need to develop financial assistance and social security schemes are needed to enhance health care facilities, economic independence and utilization services. 


2019 ◽  
Vol 26 (1) ◽  
pp. 122
Author(s):  
Hendrayati Hendrayati ◽  
Putri Indah Nirmalasari

ABSTRACTIncreased Life Expectancy (UHH) in Indonesia is a success in the field of health and welfare. UHH can increase the elderly population (elderly) by decreasing mortality. The 2015 Central Bureau of Statistics (BPS) report, UHH in 2015 became 70.8 years and will increase to 72.2 years in 2030-2035, while in Maros district in 2015 for UHH increased to 68.55 years. The aging process in the elderly has the risk of non-communicable diseases, such as hypertension. The results of the Basic Health Research (Riskesdas) in 2013, showed that the health problems in the highest elderly were Hypertension with the category age of 55-64 years of 45.9%, 65-74 years of 57.6% and 75 years and over 63.8 %.Hypertension in the elderly can affect the level of dependence on the surrounding environment. The dependency ratio of Indonesia's elderly population in 2016 was 13.65%. This means that every 100 people of productive age must bear about 14 elderly residents. The dependency ratio in South Sulawesi is 14.62%, which means that every 100 productive residents in South Sulawesi must bear around 15 elderly residentsThis study is an analytical study with a cross sectional study design. The population in this study were all elderly  aged 60-80 years. Sampling using purposive sampling with sample criteria as follows: 60 - 80 years old, have a history of hypertension and / or have high blood pressure (≥ 140/90 mmHg) at the time of measurement, Willing to be interviewed, Not having hearing and memory disorders (senile) and can be invited to communicate clearly. Samples that fit the criteria in this study were 47 people.Research result is a disobedience to the hypertension diet in elderly people with very high hypertension reaches 91.5%, and insignificant relationship between nutritional status and the independence of the elderly both the age group <75 years and the age group ≥75 years with a significant value of each p = 0.619 and p = 0.191.There is a non-significant relationship between hypertension and the independence of the elderly both in the age group <75 years and the age group ≥75 years with a significant value of p = 0.447 and p = 0.362.The elderly with hypertension sufferers should always be given counseling and / or nutritional consultation to increase their understanding of the diet being undertaken


Author(s):  
Subhasish Kumar ◽  
Sukanta Majumdar ◽  
Avijit Paul ◽  
Nabanita Bhattacharyya

Introduction: Aging is associated with gradual accumulation of a wide variety of molecular and cellular damage resulting in different types of morbidities in geriatric population especially in rural areas in India where health infrastructure is insufficient. Aim: To assess socio-demographic profile and morbidity pattern of geriatric population in Memari-I block of East Burdwan district, West Bengal. Materials and Methods: A cross-sectional observational study was conducted among 436 rural geriatric population from October to December 2020 at Memari-I block in West Bengal and multistage proportionate population sampling was done. Data was collected through house-to-house survey by pretested predesigned structured schedule and data analysed with help of International Business Machines (IBM) Statistical Package for the Social Sciences (SPSS) version 16.0. Results: Among the 436 study population, 263 (60.3%) were male and 272 (62.4%) were in the age group of 60-69 years. Out of total, 156 (35.7%) had pallor, 428 (98.2%) had Gastrointestinal (GI) and 403 (92.4%) had musculo-skeletal problems. Hypertension was found in 110 (41.8%) males and 124 (71.7%) females and diabetes were found in 30 (11.4%) males and 53 (30.6%) females. Diabetes and hypertension were significantly associated with age group (60-69 years), gender (female), Body Mass Index (BMI) (obese), and dependency on others. Conclusion: Geriatric population from the Memari block suffer from multiple co-morbidities, predominantly musculoskeletal disorders, GI disorder, hypertension and ophthalmic disorders. A significant number of study population were underweight and belonged to lower socio-economic group. Diabetes and hypertension showed significant association with age group (60-69 years), gender (female), BMI (obese) and dependency on others.


2018 ◽  
Vol 6 (2) ◽  
pp. 50-53
Author(s):  
N Rai ◽  
P Pokhrel ◽  
DR Shakya ◽  
N Sapkota ◽  
M Basnet ◽  
...  

Introduction: The elderly population is on rise in Nepal. With increasing elderly population, the burden of elderly health problems is also increasing. The number of mentally ill elderly is on rise. Studies have shown Depression is most common psychiatric illness in geriatric population 3 which has a significant impact in quality of life of elderly people.This study was carried out to examine the prevalence of Depression among elderly population visiting psychiatric services and severity of illness.Material And Method: It is a descriptive, cross sectional, hospital based study. A total of 60 patients of age 60 and above, attending psychiatric services were enrolled after due written informed consent. The study period was 6 months (2012-2013). A semi-structured proforma was used to collect information about the socio-demographic profiles of patients. Diagnosis was made based on International Classification of Diseases (ICD-10) criteria after discussion and assessment of the case with the consultant psychiatrist.Results: The maximum number of patients was in the age group of 60-69 (n=43, 71.7%). The mean age was 68.18. The predominant caste was “caste origin hill hindu group” (n=30, 50.0%). Maximum cases were Hindu (n=45, 75.0%) by religion. Majority of the subjects were female (n=36, 60.0%). Most of the subjects were married (n=48, 80%) and were from middle socio economic status (n=44, 73.3%) and majority (n=35, 58.33%) of the patients were illiterate. The prevalence of depression was 50.0%. Among them majority were suffering from moderate depressive episode (n=15, 53.6%). Majority of them were female. Among the 30 depressive patients, 11 (36.7%) patients had positive family history of mental illness. Among the mental illness, Mood disorder (n=5, 45 .5%) and anxiety disorder (n=3, 27.3.0%) were found to be the most.Conclusion: Overall findings suggest that prevalence of depression is common, so further research is required to understand the gravity of situation. J Psychiatrists’ Association of Nepal Vol. 6, No. 2, 2017


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